Organization
FAMILY LIFE PSYCHOLOGICAL SERVICES PC
Active
Other names
Dr Herbert S Cohen
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT S COHEN EDD (PRESIDENT)
(203) 968-0469
Entity
Organization
Contact information
Practice address
106 GUN CLUB ROAD, STAMFORD, CT 06903-1024
(203) 968-0469
Mailing address
106 GUN CLUB ROAD, STAMFORD, CT 06903-1024
(203) 968-0469
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
000918
CT
106H00000X
Marriage & Family Therapist
Primary
00145
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060000918CT01
ANTHEM BLUE CROSS BLUE SH
CT
Enumeration date
11/15/2006
Last updated
09/11/2025
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